| NPI | 1073800827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.134036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2014025217) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-09-18 |